Workplace Violence and Worker Injury in Elderly Care Settings

Abstract

Many incidents of injury, assault, and abuse occur in health care settings. To better examine the situational context of the workplace, this paper examines whether workers providing care to elderly persons experience injuries that are consistent with the “for-profit” and “interpersonal conflict” explanations of elder abuse or neglect. Using data from the Bureau of Labor Statistics, results indicate that nursing home workers and home health care workers have higher rates of workplace injuries resulting from assaults and overexertion than do other workers. The data suggest that there are unique structural and situational factors present in the nursing home, which create a work setting vulnerable to conflict, violence, and elder abuse.     

Childhood Maltreatment and PTSD: Spiritual Well-Being and Intimate Partner Violence as Mediators

Childhood maltreatment places individuals, including African American women who are undereducated and economically disadvantaged, at risk for developing posttraumatic stress disorder (PTSD) symptoms. Participants were 192 African American women with a history in the prior year of both a suicide attempt and intimate partner violence (IPV) exposure. They were recruited from a public hospital that provides medical and mental health treatment to mostly low-income patients. A simple mediator model was used to examine if (a) existential well-being (sense of purpose) or religious well-being (relationship with God) mediated the link between childhood maltreatment and adult PTSD symptoms. Sequential multiple mediator models determined if physical and nonphysical IPV enhanced our understanding of the mediational association among the aforementioned variables. Findings suggest that existential well-being mediated the association between childhood maltreatment and adult PTSD symptoms in a simple mediator model, and existential well-being and recent nonphysical IPV served as sequential multiple mediators of this link. However, religious well-being and physical IPV were not significant mediators. Findings underscore the importance of enhancing existential well-being in the treatment of suicidal African American women with a history of childhood maltreatment and IPV.     

Sole Expression: A Trauma-Informed Dance Intervention

The primary treatment for individuals who have encountered violence and/or abuse is trauma-focused cognitive and behavioral modalities. However, these therapeutic approaches are not always effective for youth who have encountered this type of trauma. Trauma is often communicated through the body via physical ailments, particularly when words are insufficient to capture an individual’s experience or when adequate processing of the trauma is not possible due to profound stress. Dance offers an alternative form of therapy that can address “where” the trauma is held, relieve tension, and restore a sense of ownership with one’s body and mind. In this article, we discuss the development of Sole Expression, a trauma-informed hip-hop dance program for youth who have experienced abuse and/or exposure to violence. We provide an overview of establishing the team, securing funding, trauma training, program curriculum, and the related research. We conclude with recommendations for best practices that benefit both practitioners and the young people served.     

Violence against Women in Contemporary Ghanaian Society

Abstract

Overcoming violence against women requires critical reflective questioning both by individuals and human societies. At stake are not just questions of whether we respond to situations of violence but more importantly, where, when and how we respond. This paper examines the problem with respect to new dimensions arising from existing interventions on violence against women in the Ghanaian context. It calls for well-planned and sustained strategies to help break the cycle of violence being created.

The paper also calls upon the Church to look within its own resources for strategies that are life transforming to help break the vicious cycle. It notes that the Church is not only well placed to respond appropriately but it has been commissioned and given the requisite tools to do so. The call is therefore for the Church to enlist these foundational resources available to it and to put them to good use as it is demanded by its calling.     

Crossnational deviance in the workplace: Diverging impact of organizational commitment in Canada and Belgium

Using a self-report questionnaire from the aggressor's point of view, this study contrasted employees' frustration, perception of procedural justice, organizational commitment, and their relationships to interpersonal deviance in Canada and Belgium. Significant main effects were found in both countries for frustration and procedural justice on psychological and physical violence. Moreover, hierarchical regression analyses revealed significant interactions of country by normative and continuance commitment in interpersonal deviance, indicating the unique patterns relationships in Canada and Belgium. Hofstede's model of cultural dimensions was used to discuss the results.     

Scandalous subwomen and sublime superwomen: exploring portrayals of female suicide bombers’ agency

When the terms ‘women’ and ‘violence’ are used, it is usually in the context of women as victims and rarely as perpetrators of violence, and yet women do behave aggressively – for instance, as female suicide bombers. An ethical analysis of this role, however, has tended to be somewhat overlooked, partly because of the gender stereotypes at play, with little (or spurious) focus on the agency and autonomy of the women. This has resulted in an incomplete understanding of the unique ways in which societies treat female political aggressions, and the consequences of this for their agency. This paper seeks to redress these issues by evaluating two different societal portrayals of female suicide bombers; that of the ‘scandalous subwoman’ and the ‘sublime superwoman’. It argues that violent women's agency is often distorted to extremes beyond that of their male counterparts, and that it is imperative to avoid misrepresenting them either as agentless victims (‘subwomen’) or wholly agentic (‘superwomen’) since, even in times of political instability, they can rarely be dichotomised in this binary way.     

School shooting fatalities and school corporal punishment: A look at the states

Student deaths from school shootings were examined across all 50 states according to the state’s policy on the use of corporal punishment in schools after controlling for associated differences in poverty rates and the prevalence of conservative Christian religions. There were significantly more school shooting deaths found in states allowing school corporal punishment compared with those that do not. The odds of fatal involvement in a school shooting were greatest in states permitting school corporal punishment compared with those prohibiting it (odds ratio, 2.04) or restricting it to districts serving less than half the student population (odds ratio, 1.77). Moreover, the rate of school corporal punishment was moderately correlated with the rate of fatal school shootings both across all states and within the South, the region in which endorsement of school corporal punishment is most prevalent.Aggr. Behav. 28:173–183, 2002. © 2002 Wiley‐Liss, Inc.     

How Do I Treat My Hungry Lion: A Model for Violence Management in Prison

This theoretical model for the management of violence relies on the notion that there are fundamentally only two kinds of prison violence—provoked and unprovoked—and that all violence is caused by the influence of some fear-causing agent which triggers the autonomic nervous system's Fight or Flight Response (FFR) which in turn causes the release of FFR chemicals to create and enable an action potential for violence in the actor. Provoked violence is an act of violence which occurs in response to an FFR instigated by some external, independent contemporaneous, real or imagined fear causing agent. Treating provoked violence must include suppressing the production of an excess of FFR stimulant chemicals, which at the same time employing psychodynamic therapy to modify the negative behavior learned from a lifetime of excessive responses to FFR chemical releases. Unprovoked violence is the result of an actor's addiction to FFR chemicals. This addiction leads the actor to experience an apperceptive compulsion to engage in thrill seeking as a method of exposing himself to fear causing agents that are calculated to cause the release of FFR chemicals. In order to treat unprovoked violence you must treat both the chemical addiction and the negative pattern of behavior which was learned to support the habit of self-triggering an FFR. Thus any successful treatment of violence must employ both energetic and psychodynamic models for development of fear management strategies.     

Preventing School Violence by Promoting Wellness

This paper presents a framework for school-based health promotion and prevention programming that can serve to guide planning and action. Rather than separating specific prevention programs (such as violence prevention, substance abuse prevention, etc.) from more broad-based youth development efforts, this approach provides an integrated framework that: (a) identifies benchmarks of healthy development and strategies to support this development across contexts; (b) specifies additional factors that contribute to identified problems that are not directly linked to healthy development; and (c) provides for matching services to individual needs. Suggestions for application of this framework are discussed, with a particular focus on its application to the development of school-based Wellness Centers.     

Teasing,rejection, and violence: Case studies of the school shootings

Media commentators have suggested that recent school shootings were precipitated by social rejection, but no empirical research has examined this claim. Case studies were conducted of 15 school shootings between 1995 and 2001 to examine the possible role of social rejection in school violence. Acute or chronic rejection—in the form of ostracism, bullying, and/or romantic rejection—was present in all but two of the incidents. In addition, the shooters tended to be characterized by one or more of three other risk factors—an interest in firearms or bombs, a fascination with death or Satanism, or psychological problems involving depression, impulse control, or sadistic tendencies. Implications for understanding and preventing school violence are discussed. Aggr. Behav. 29:202–214, 2003. © 2003 Wiley‐Liss, Inc.